Hatred stirs up conflict,
but love covers over all wrongs.
Proverbs 10:12, NIV

By Darlene Franklin

Life inside the nursing home gives me multiple opportunities for conflict. It often leaves me spouting like someone arrested by the cops, babbling incoherently, feeling anxious, afraid, and helpless.
There are biblical principles I can apply, but they require practice in real time. I struggle to find the “correct” response when my inner child screams for fairness and justice. The needs are real, but ranting and pouting only push any possible resolution further away. I suspect many church conflicts stir up similar unreasoned responses. And a four-day Christmas holiday weekend with short-handed, inexperienced staff provided a perfect storm. And praise God, I had a victory.
I’ve been working with a therapist, learning kills on how to redirect my thoughts, out of a genuine desire to please God, to be people-oriented and not a shrew. I am making progress.
Also, instead of expecting the world to change for me, I’ve applied the serenity prayer. God gives me wisdom to accept what I cannot change, courage to change the things I can and the wisdom to know the difference.
Here are examples of those principles at work:
* Empathizing with the staff instead of attacking them. One day my med aide brought my 8 o’clock medicines at 11 a.m. I started to complain. She told me a family member had gone to jail, and she hadn’t slept for twenty-four hours. I let go of my criticism and instead offered my support and prayed for her.
* Thanking instead of criticizing. One evening my aide promised to put me to bed after supper. I meant when I finished supper. She meant when she finished supper for everyone on the hall, which is an hour later. Instead of complaining, I thanked her for putting me to bed before anyone else. As a result, we have a better relationship. She listens to my concerns and address them when she can.
* Looking for the good. As I go about my day, I look for things that each aide does well, such as fixing my bed or finding my clothes in the closet. It opens my mind to what’s right instead of the things I wish they would do better. I also thank them when they do as I ask without frowning or complaining.
* Accepting what I can’t change Over Christmas, I was only given half the continence supplies (kept under lock and key) I needed for the four-day weekend. I asked for more on Friday and again on Saturday (Christmas Eve). When that didn’t happen, I accepted it in peace. I had done what I could. If the aides’ lack of proactive problem solving created issues later, they would be the ones dealing with the consequences.
I also can’t change the schedules here, which at times create problems for my unique needs. I look for ways to work around their schedules, instead of expecting them to change.
* Doing what I can. Most of the conflicts over that weekends were relatively unimportant, nothing to complain to management about. One was a major issue: my call light went unanswered for six hours When I couldn’t get the shift nurse to listen, I followed through with the Director of Nursing the following week. Because I was able to say, the rest of weekend went reasonably well, she was open to my complaint.
* Wisdom to know the difference. Where is the line between my needing help now and aid coming an hour later? How can I schedule phone calls with people outside when I have no control over the timing inside the nursing home? How do I decide when to fight for something, and when to let it go? It’s not always easy, but with God’s help, I’m learning how. I had ordered glasses in November. In December, the social worker told me I couldn’t get glasses because I had received a new pair back in July. I told I hadn’t. After the new year I was going to ask for the prescription to get a pair on my own. I’m glad I waited-she brought me the new lenses a few days before Christmas.
With practice, and by God’s grace, we can learn how to avoid conflict before it escalates.

by Traci Chapman, Staff Writer

As Russell-Murray Hospice prepares to commemorate its 30th year in business, those associated with it are celebrating a new home and new levels of care to those who need it most.
“It’s appropriate we are here today, holding our board of directors and annual advisory board meeting, in our new building,” RMH Executive Director – and the organization’s first RN – Vicki Myers said. “It’s peaceful, it’s efficient, it’s just perfect for everything, and if Russell-Murray is here for 30 more years, this building is perfect for us.”
Myers made her remarks during the Nov. 15 annual meeting of the two boards at Russell-Murray’s new home, located at 2001 Park View Drive in El Reno. The new building, recently purchased by the longtime hospice care organization, is more than triple the space of its previous offices, located in historic downtown El Reno, Myers said.
“As we’ve grown, the staff really has had to try to work in a situation that just wasn’t feasible,” she said. “They were just crammed in with each other, and while everyone handled it very well, it just wasn’t working the way we wanted it to.”
That meant when a former medical office building located adjacent to Mercy Hospital El Reno came on the market, the organization jumped at it. The space meant not only plenty of room for a growing staff, but also room to grow and a more prominent location, headquartered not only near the hospital, but also other medical providers.
That’s good news for the staff, but also for Russell-Murray’s patients, said Melodie Duff, RN, patient care coordinator. As RMH closes out the year and heads into 2018 – its 30th anniversary – Duff said staff and those associated with its success have a lot to be proud of, including 4,440 patients who have been treated and cared for by the organization’s nurses and caregivers.
“We currently have patients from infants days old to patients over 100,” Duff said. “We serve without care about their ability to pay, and we’re always there for them, no matter what.”
That’s something unique in Oklahoma hospice – and elsewhere – Russell-Murray Clinical Supervisor Missy Ellard said.
“If a patient qualifies and desires hospice care, we do not turn patients away based on their reimbursement status,” she said. “Many hospices, even not for profit hospices, have a ‘quota’ of non-reimbursable patients and will decline patients if they don’t have a payer source – RMH has never done that.”
That assistance totaled about $400,000 last year, Administrator Christina Ketter said. With $3.8 million in revenues and a $2.6 million payroll, Russell-Murray saw a jump in helping those who could not afford it.
“It might be younger people who lost their job and didn’t have insurance and, of course, the seniors who might not have access to Medicare or something like that,” Ketter said. “To me, our charity care, the way we look at our patients and how we treat them shows what kind of an organization, what kind of people we are.”
Russell-Murray’s approach has worked – from its roots as a small El Reno hospice care provider to an organization with offices also located in Kingfisher, Weatherford and Oklahoma City. In October, those sites combined served 118 patients through the work of 25 full-time RNs and LPNs, as well as several per diem PRN nurses, across RMH’s four offices.
“We serve approximately 75-mile radius surrounding each of the four offices,” Myers said.
Even before the move, Russell-Murray was working to expand its services, not only to patients, but also their families. In March, the organization celebrated the opening of the Virginia E. Olds Resource Library, coordinated originally by Carol Russell Davis, Evan Davis and Vicky Joyner. When RMH began looking at moving, Carol Davis undertook the transfer of the library’s books to the new site, while Sue Pennington-Unsell is director of bereavement.
Named for retired University of Oklahoma School of Social Work professor and longtime Russell-Murray counselor Virginia Olds, the library is unique among hospice organizations, Myers said – and is something that can help not only patients and their families, but also nurses who deal daily with end-of-life care and the emotional toll it can take.
“We wanted to accumulate information related to social issues involved in bereavement, emotional and psychological resources, coping with these kinds of illnesses and more,” Myers said. “It’s important to remember that the patient isn’t the only person who suffers through an end-of-life illness – it’s incredibly difficult and stressful for their family, their friends and their caregivers.” Those caregivers are the backbone of Russell-Murray’s nearly 30-year success, and they make those who work with them proud every day, Duff said.
“I can’t tell you how many thank you cards and calls we get, talking about how our staff treats their patients, and particularly those who can’t afford it,” she said. “We hear all the time that our nurses never judge and are always there to do everything they possibly can do – and that’s an accomplishment in itself.”

Oklahoma Insurance Commissioner John D. Doak has been named Chair of the National Association of Insurance Commissioners’ (NAIC) Antifraud (D) Task Force. Doak was also named to the International Insurance Relations (G) Committee, Executive (EX) Committee and Property and Casualty Insurance (C) Committee.
“These appointments allow me to tackle critical issues affecting the insurance industry and consumers,” said Doak. “Keeping consumers safe from insurance fraud has been a top priority of mine from day one, so I appreciate the opportunity to find innovative ways to accomplish that goal. Collaboration is the key to success, and I look forward to working with my fellow commissioners across the country over the next year.”
The NAIC is the U.S. standard-setting and regulatory support organization created and governed by insurance regulators from all 50 states, the District of Columbia and five U.S. territories. Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review and coordinate regulatory oversight.
Doak will serve as Chair of the NAIC Midwest Zone in 2018. The zone groups are part of the NAIC Executive Committee. They help carry out the authority and responsibilities of the NAIC’s goals. The Midwest Zone represents 13 states.
Doak has also been named the NAIC’s representative to the Organisation for Economic Co-operation and Development (OECD). As part of duties, Doak will attend meetings with international insurance regulators to discuss emerging insurance issues around the world.

by Tara Vreeland

Senior residents rom The Villages at Southern Hills, collected donations for Emergency Infant Services over the holiday season. The residents chose EIS because they wanted to give back to the community and thought it was a good idea after seeing a donation box at the facility. They collected new/gently used baby/toddler items like diapers, bassinets, wipes, clothes, toys, blankets, and strollers. A few of the residents, staff with Lifetime Wellness and social worker, Caitlyn Morgan paired with the Eastside Christian Church Youth Group to collect the times. They boarded a bus to deliver the items to EIS and were personally greeted by Executive Director, Tim Gowin.
Gowin says, “Our agency is pretty much 100% grassroots Tulsa. Donations like this are what make our agency tick. It is the way we are able to serve.”
The residents were able to visit with Gowin and he says they genuinely expressed interest in EIS and its mission. “I could feel the connection with them. And you could see it on their faces. They were very proud to be able to help. They should be proud.” One Villages at Southern Hills resident said, “I didn’t realize there was such a need for the items. I love the cause and am amazed it has no state or local grants behind it.”
Gowin says last year, they served 18,800 children between the ages of 0-5 thanks to generous donations from the community. He also says the items the residents donated were processed the next day and have already been distributed.
Gowin says right now, EIS is in need of volunteers to help serve families. He also says this time of year, there is a need for winter coats for kids 0-5… specifically the middle sizes 24 months 2T and 3T. For more information visit http://www.eistulsa.org/or contact volunteer coordinator Kimberly Deardorff directly at kimberly@eistulsa.org or call 918-582-2469 for any additional information or questions.

by Bobby Anderson, Staff Writer

For the better part of a decade Melissa Hill and Greg Bridges traveled Oklahoma trying to improve the health care landscape in our state.
They saw the good and often times the bad.
What they walked away with was a better understanding of what assistance seniors need to stay in and thrive in their own homes as long as possible.
And through that, Home Care Assistance was born in the metro.
IMPROVING HEALTH CARE
The group has cared for Oklahomans through Home Care Assistance for almost four years now.
Bridges – who brings more than 35 years of registered nursing experience to the company – worked with Hill consulting Medicare providers prior to opening Home Care Assistance.
“Quality improvement and patient safety initiatives,” Hill said of two things that occupied their time as they traveled. “We did a lot of work … particularly around the issue of readmissions. Why are people going back into the hospital and how many of those readmissions could have have been prevented?”
The answer to both questions could be found at home.
“It was very eye-opening for me personally to understand some of the risks or hazards of hospitalization and some of the safety issues that are prolific in the health system,” Hill said of her decade of process improvement. “We know people really want to avoid being institutionalized and the majority of people want to remain in their homes.”
HEALTH AT HOME
Typically, Home Care Assistance hires just one in 25 applicants – all home health aides and certified nursing assistants.
The focus is on activities of daily living – allowing clients to do as much as they possibly can on their own while also being there to help shore up any deficits.
“It’s A through Z, personal care, dressing …” Bridges said. “Statistically, 60 percent of people who come out of the hospital with strokes have depression. Having that relationship with a caregiver one-on-one and not feeling like they are a burden … can really lift someone out of that depression.
“It’s broad spectrum.”
Services range from personal care to medications reminders, running errands and light housekeeping.
“You want to maintain an optimal environment for them to thrive,” Bridges said.
Bridges noted that as health care moves more towards an in-home setting it’s important to understand that bringing someone into your home has legal ramifications.
The Oklahoma State Department of Health is cracking down on “rogue” caregivers who are unaffiliated with licensed agencies.
The reason is that these individuals often do not go through state and national background checks, carry workman’s compensation insurance or withhold required taxes.
Home Care Assistance leans heavily on Bridges’ three decades of experience ranging from the ICU into the home.
“With us you transfer that into the home and the practical things that keep a person safe,” Bridges said. “We try to focus on consistent assignments so the same caregiver and same team knows the patient’s idiosyncrasies. And we’re the owners and I’m the case manager so we know each client intimately and because of that we can intervene and tailor a plan of care.
“Watching a person that closely, supporting physical therapies and having that much feedback and intervention on a daily basis we really nip all sorts of stuff in the bud.”
Most clients who utilize Home Care Assistance are in their 70s or 80s – although Hill points out one client just turned 101 – and need assistance dealing with multiple chronic conditions. Heart and pulmonary issues are prevalent as are Alzheimer’s and dementia.
Following an acute medical issue is often when families realize not only the value but the need for assistance in the home.
“We wish more physicians understood the value of a non-medical home care service and where to find them,” Hill said. “It’s just not top-of-mind yet among health care professionals.”
That will be changing.
Through its Hospital Readmission Reduction Program, Medicare has been financially penalizing hospitals with high rates of Medicare readmissions and is extending the penalties to other settings of care such as skilled nursing facilities.
It’s estimated that in 2017 hospitals with relatively high readmission rates were penalized more than half a billion dollars.
That occured when Medicare patients were readmitted to the hospital within 30 days of discharge for the same diagnosis.
February is Heart Health Month, highlighting the leading cause of death for men and women.
Hill points out that the good news is heart disease is also one of the most preventable diseases. And heart disease can be managed at home.
“We see a lot of people coming out of the hospital after a heart incident or a stroke and that’s the perfect time to have in-home care services to help people recover,” Hill said. “That first 30 to 90 days after a hospital stay people are in a pretty vulnerable state.
“Our services are holistic.”
In late January, Home Care Assistance was honored by Home Care Pulse as a 2018 Best of Home Care aware winner in both provider and employer categories.
You can find out more at www.hospitaltohomecare.com.

Cupid agrees these gift ideas from the Oklahoma City Zoo will keep you and your valentine wild at heart!
ZOOFRIENDS’ MEMBERSHIP
ZOOfriends members enjoy free admission all year-long to the OKC Zoo, plus additional perks and discounts. Membership levels start at $35 and ZOOfriends has packages to fit every budget. Committed to giving 100 percent of your membership dollars back to the Zoo, these memberships support the care of the Zoo’s animals, fund education programming and conservation initiatives and supports the overall expansion and growth of the Zoo. Purchase online at zoofriends.org or contact the ZOOfriends office at (405) 425-0618 for information.
ANIMAL ADOPTIONS
This is the perfect gift option for the animal lover in your life! Contributions from these symbolic adoptions support the health, enrichment and nutritional needs of all animals at the OKC Zoo. With each $45 donation, recipients receive their choice of a plush rhino, tiger or gorilla, adoption certificate, a fact sheet about their adopted animal and name recognition on the ZOOfriends’ website for one year. Adoptions can be purchased in the ZOOfriends’ membership office, by calling (405) 425-0618 or online at zoofriends.org.
ZOO ANIMAL PAINTINGS
Make an imprint on your love with an original OKC Zoo animal painting. As part of the Zoo’s enrichment program, many animals paint during enrichment sessions with assistance from their caregivers. Be in awe of unique pieces created by elephants, sea lions, gorillas, snakes and more! Find the masterpiece that’s right for your valentine by visiting the Zoo’s Guest Services Office open daily from 9 a.m. to 5 p.m. Proceeds from all paintings support the Zoo’s conservation projects. For more information, call (405) 425-0262.
SAFARI GIFT SHOP
The OKC Zoo’s Safari Gift Shop offers a wide array of items including children’s books and toys, green or recycled gifts and home décor. Many items available for purchase support local and global conservation, so you can feel good about the gifts your giving. Shop until your heart’s content 9 a.m. to 5 p.m. daily.
FRIDAY, FEB. 9: VALENTINE’S DAY ENRICHMENT EVENT
We love our animal family and take pride in enriching their lives each and every day. Join us on Friday, February 9 for a special Valentine’s Day enrichment event from 10 a.m. to 2 p.m. Select Zoo animals receive special enrichment treats and eats made with love by their caretakers. Watch your favorite animals’ curiosity take over as they discover and interact with their unique valentines. Free with Zoo admission. Look for the day’s enrichment schedule on your zoo map. For more information, call Guest Services at (405) 425-0262.
THURSDAY, FEB. 15–SATURDAY, MAR. 31: OKC ZOO & DR PEPPER HOST ANNUAL VENDING MACHINE ART CONTEST
All Oklahoma’s talented students in K-12 are eligible to win wild prizes and the chance to have their original art designed on a Dr Pepper vending machine at the Zoo. Come on, get creative! Additional information about this year’s contest theme, 2018 is the Year of the Bird: Celebrate our World’s Winged Wonders, guidelines and entry forms will be available at okczoo.org. All submissions must be postmarked by March 31, 2018. Participation if free. For more information, contact Candice Rennels at (405) 425-0298 or crennels@okczoo.org.
SATURDAY, FEB. 17 / MONDAY, FEB. 19: OKC ZOO HOSTS GREAT BACKYARD BIRD COUNT
Flock to the Oklahoma City Zoo and Botanical Garden to help wild birds. The OKC Zoo is proud to host its first Great Backyard Bird Count, a global citizen science project that invites people to count native birds and help create a real-time look at wild populations. Participation is easy to do, fun for families and individuals–all ages welcome. Join us on Saturday, February 17 and Monday, February 19 from 10 a.m. to 1 p.m., both days, to assist with counting, identifying the native birds that make their home around the Zoo. Kids will enjoy an on-grounds bird scavenger safari. Visit our information tent in the Global Plaza to learn more about each day’s activities including bird watching tours. All activities are free with Zoo admission. For more information, visit okczoo.org or call (405) 425-0262.

by Bobby Anderson, staff writer

Valir Hospice has been honoring America’s veterans for more than a decade now.
But Vice President of Hospice Care Laura Trammell, M.Ed, LPC wanted to make sure Valir’s Veteran’s program was the best it could possibly be so she sought out retired Major Traceee Rose, APRN, to make it happen.
Valir Hospice Care is a family of dedicated professionals who care for terminally ill patients, providing them and their families with physical, psychological, social and spiritual support. Using individualized pain – and symptom-management plans, Valir works to enhance the patient’s quality of life.
With a significantly large veteran population, Valir Hospice serves scores of military families each year.
“One of my goals is for her to continue to educate our team that works day-to-day with our veterans and share her knowledge and speak that speak that she knows how to do and educate our team,” Trammell said of Rose. “I think she’s going to be the bridge that we’ve definitely needed in order to have the best program out there.”
The critical care nurse brings her 27 years of Army experience with her to her new role as director of clinical operations.
“I hope to bring enthusiasm. I love veterans because I am a veteran and my dad is a veteran,” Rose said. “I love hearing the stories, being able to talk with them and share their commonalities and being able to speak their language.”
That language is one of shared strife and successes, of losses and victories and of bonds forged.
For many veterans, that language is often lost forever.
But both Trammell and Rose have seen first-hand rekindling that fire at the right moment can bring peace to not only patients but their families.
“A lot of people say they have veteran’s programs but what does that really mean,” Trammell said. “We’re extremely dedicated and we’re extremely proud of it. My father served in Korea and he never spoke about what happened to him.”
“Like Traceee says there are stories out there all the time. I knew we had to do something. I would want my dad honored like this. It’s amazing what our military has done for us.”
Rose retired from the Army in September 2017. The Nurse Corps officer spent nearly three decades serving her country and finished her career in Hawaii.
She wanted to continue to make a difference.
“I had been in large medical facilities my entire nursing career,” Rose said, noting her last hospital had 425 beds with 5,000 employees. “I wanted to find something, somewhere smaller – not necessarily hospital-based where I could feel my ripple effect. Sometimes we get lost in a big pond and you’re just a cog in a wheel.”
Trammell interviewed Rose and quickly realized she needed to put her behind the wheel of Valir’s veterans services.
Even though the armed forces provides palliative care in a different setting, the trauma and intensive care nurse quickly fell in love with the new position.
“All veterans have a story. Every veteran has a story and sometimes they’re just not ready to talk about it or they don’t think it’s relevant right now,” Rose said. “They feel they just did their job and then got out.” In the future Rose would like to partner with more veteran’s organizations to work with in outreach projects.
“The closeness and camaraderie, it just felt comfortable. I knew I wanted to work there,” Rose said. “Just being able to hold a hand and reassure a family, that’s the rewarding piece of all of it.”
It’s no coincidence that Rose felt a pull that Valir was investing in veterans.
CEO Tom Tucker is a West Point graduate and owned a company that forged the Purple Hearts bestowed to those wounded or killed in service.
“It is a gift to the family and a lot of times it’s the part they need in the grief cycle to help them adjust to what’s going on,” Trammell said of honoring veterans before they pass.
“It can bring a lot of understanding,” Rose added. “A lot of it is understanding who your parent was because your parent lived a whole life before you came along.”
Those special ceremonies where families get to see their loved ones honored often provide a glimpse into a world they never experienced.
“We’ve been able to see – even patients with significant dementia – they recognize when they’re being honored,” Trammell said. “It’s been very special for the families to see a little bit of their loved one come back toward the end of life.”
And to honor them as the hero they are.